{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T16:25:52Z","timestamp":1789748752531,"version":"4.0.1"},"reference-count":21,"publisher":"SAGE Publications","issue":"10","license":[{"start":{"date-parts":[[2023,5,10]],"date-time":"2023-05-10T00:00:00Z","timestamp":1683676800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Aust N Z J Psychiatry"],"published-print":{"date-parts":[[2023,10]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>Early intervention for psychosis services result in superior outcomes in the domains of symptomatic and functional recovery, hospitalisation and employment compared to standard services; however, the optimal duration of care with these services is unknown. Knowledge on the discharge destinations, specifically the proportion discharged to high- and low-intensity services, could provide insights into the proportion of who may require a longer tenure of care. This study aimed to determine (1) the discharge destinations from early intervention for psychosis services and (2) baseline and intra-episode factors associated with discharge to the secondary care\/adult mental health service.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methodology:<\/jats:title>\n                    <jats:p>This study was conducted at the Early Psychosis Prevention and Intervention Centre in Melbourne and included all young people treated by the service with a first episode of psychosis over a 6-year period. Discharge destinations were categorised according to high-intensity services, namely, secondary mental health care, or lower intensity services, such as private practitioners or primary care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>A total of 1101 young people with a first episode of psychosis were included in the study, of whom 58.8% were male and the median age was 20.0\u2009years (interquartile range: 17\u201322). After a median of 95.4\u2009weeks (interquartile range: 66.7\u2013105.7), 36.6% were discharged to the adult mental health services, which was associated with being not in employment, education or training at presentation (odds ratio\u2009=\u20091.71, 95% confidence interval [1.23, 2.37]); experiencing a relapse (odds ratio\u2009=\u20091.76, 95% confidence interval [1.24, 2.49]); and being admitted to a mental health unit (odds ratio\u2009=\u20093.98, 95% confidence interval [2.61, 6.09]). Young people who lived with their parents were less likely to be discharged to secondary care services (odds ratio\u2009=\u20090.52, 95% confidence interval [0.37, 0.73]), as were those who were achieving symptomatic remission within 12\u2009weeks (odds ratio\u2009=\u20090.60, 95% confidence interval [0.43, 0.83]). Migrant status and the duration of untreated psychosis were not associated with discharge destination.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>These findings indicate that there is a sizable, identifiable minority who may benefit from a longer episode of care with early intervention for psychosis services.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/00048674231172404","type":"journal-article","created":{"date-parts":[[2023,5,10]],"date-time":"2023-05-10T13:58:54Z","timestamp":1683727134000},"page":"1359-1366","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":9,"title":["Discharge destinations for young people with a first episode of psychosis after attending an early intervention for psychosis service"],"prefix":"10.1177","volume":"57","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6240-6952","authenticated-orcid":false,"given":"Brian","family":"O\u2019Donoghue","sequence":"first","affiliation":[{"name":"Department of Psychiatry, University College Dublin, Dublin, Ireland"},{"name":"Orygen, Parkville, VIC, Australia"},{"name":"Centre for Youth Mental Health, The University of Melbourne, Parkville, VIC, Australia"},{"name":"Elm Mount Unit, St Vincent\u2019s University Hospital, Dublin, Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew","family":"Thompson","sequence":"additional","affiliation":[{"name":"Orygen, Parkville, VIC, Australia"},{"name":"Centre for Youth Mental Health, The University of Melbourne, Parkville, VIC, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3789-6168","authenticated-orcid":false,"given":"Patrick","family":"McGorry","sequence":"additional","affiliation":[{"name":"Orygen, Parkville, VIC, Australia"},{"name":"Centre for Youth Mental Health, The University of Melbourne, Parkville, VIC, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ellie","family":"Brown","sequence":"additional","affiliation":[{"name":"Orygen, Parkville, VIC, Australia"},{"name":"Centre for Youth Mental Health, The University of Melbourne, Parkville, VIC, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2023,5,10]]},"reference":[{"key":"bibr1-00048674231172404","doi-asserted-by":"publisher","DOI":"10.1111\/eip.12552"},{"key":"bibr2-00048674231172404","volume":"356","author":"Albert N","year":"2017","journal-title":"The"},{"key":"bibr3-00048674231172404","doi-asserted-by":"publisher","DOI":"10.1177\/070674370805300311"},{"key":"bibr4-00048674231172404","doi-asserted-by":"publisher","DOI":"10.1093\/schbul\/sbp129"},{"key":"bibr5-00048674231172404","doi-asserted-by":"publisher","DOI":"10.1093\/schbul\/sbz038"},{"key":"bibr6-00048674231172404","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.bp.114.150144"},{"key":"bibr7-00048674231172404","doi-asserted-by":"publisher","DOI":"10.1001\/jamapsychiatry.2018.0623"},{"key":"bibr8-00048674231172404","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.bp.107.048942"},{"key":"bibr9-00048674231172404","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291719001399"},{"key":"bibr10-00048674231172404","doi-asserted-by":"publisher","DOI":"10.1016\/j.schres.2019.04.017"},{"key":"bibr11-00048674231172404","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2021-056420"},{"key":"bibr12-00048674231172404","doi-asserted-by":"publisher","DOI":"10.1093\/schbul\/sbr165"},{"key":"bibr13-00048674231172404","doi-asserted-by":"publisher","DOI":"10.1007\/s00127-004-0798-5"},{"key":"bibr14-00048674231172404","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291716002014"},{"key":"bibr15-00048674231172404","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0267808"},{"key":"bibr16-00048674231172404","doi-asserted-by":"publisher","DOI":"10.1002\/wps.20456"},{"key":"bibr17-00048674231172404","doi-asserted-by":"publisher","DOI":"10.1093\/schbul\/22.2.305"},{"key":"bibr18-00048674231172404","doi-asserted-by":"publisher","DOI":"10.1111\/eip.12061"},{"key":"bibr19-00048674231172404","doi-asserted-by":"publisher","DOI":"10.1192\/bjo.2018.50"},{"key":"bibr20-00048674231172404","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2017.04.050"},{"key":"bibr21-00048674231172404","volume-title":"EPPIC Model and Service Implementation Guide","author":"Stavely H","year":"2013"}],"container-title":["Australian &amp; 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